Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and laboratory study in Rio de Janeiro State, Brazil

Authors

  • Livia Martins Veloso de Carvalho Fundação Oswaldo Cruz; Instituto Oswaldo Cruz
  • Maria Inês Fernandes Pimentel Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Fátima Conceição-Silva Fundação Oswaldo Cruz; Instituto Oswaldo Cruz
  • Érica de Camargo Ferreira e Vasconcellos Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Cláudia Maria Valete-Rosalino Universidade Federal do Rio de Janeiro; Departamento de Otorrinolaringologia e Oftalmologia
  • Marcelo Rosandiski Lyra Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Mariza de Matos Salgueiro Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Maurício Naoto Saheki Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Maria de Fátima Madeira Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Eliame Mouta-Confort Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Liliane de Fátima Antonio Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Aline Fagundes da Silva Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Leonardo Pereira Quintella Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Sandro Javier Bedoya-Pacheco Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública Sérgio Arouca
  • Armando de Oliveira Schubach Fundação Carlos Chagas Filho de Amparo; Conselho Nacional de Desenvolvimento Científico e Tecnológico

Keywords:

Sporotrichoid leishmaniasis, American tegumentary leishmaniasis, Cutaneous leishmaniasis, Sporotrichosis

Abstract

Background Atypical presentations of cutaneous leishmaniasis include sporotrichoid leishmaniasis (SL), which is clinically described as a primary ulcer combined with lymphangitis and nodules and/or ulcerated lesions along its pathway. Aims To assess the differences between patients with sporotrichoid leishmaniasis and typical cutaneous leishmaniasis (CL). Methods From January 2004 to December 2010, 23 cases of SL (4.7%) were detected among 494 CL patients diagnosed at a reference center for the disease in Rio de Janeiro State, Brazil. These 23 cases were compared with the remaining 471 patients presenting CL. Results SL predominated in female patients (60.9%, p = 0.024), with older age (p = 0.032) and with lesions in upper limbs (52.2%, p = 0.028). CL affected more men (64.5%), at younger age, and with a higher number of lesions exclusively in lower limbs (34.8%). Conclusions Differences in clinical and epidemiological presentation were found between SL patients as compared to CL ones, in a region with a known predominance of Leishmania (Viannia) braziliensis. The results are similar to the features of most of the sporotrichosis patients as described in literature, making the differential diagnosis between ATL and sporotrichosis more important in overlapping areas for both diseases, like in Rio de Janeiro State.

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Published

2017-01-01

Issue

Section

Original Articles

How to Cite

Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and laboratory study in Rio de Janeiro State, Brazil. (2017). Revista Do Instituto De Medicina Tropical De São Paulo, 59, e33. https://revistas.usp.br/rimtsp/article/view/133350